Health Services & Economics

"Reducing the growth in health care spending requires improving the quality and timeliness of care and decreasing low-value care, which doesn’t improve health and may actually be harmful.”

Robert Penfold, PhD
Kaiser Permanente Washington Health Research Institute Senior Investigator

Research overview

Kaiser Permanente Washington Health Research Institute (KPWHRI) covers many fields, but much of what we do is health services research. That means we’re studying what really works — and what doesn't — in health care, with a focus on achieving aims including better population health, improved patient experience, and lower health care costs.

It all starts with Kaiser Permanente Washington’s learning health system, where research and practice work side by side to inform and improve each other. Researchers benefit from Kaiser Permanente Washington’s comprehensive capture of rich information about patients’ health, use of health care, and costs. Clinical leaders benefit from rigorous evaluations of novel innovations in care delivery and provider reimbursement.

“Together, we are learning what it takes to quickly translate what works into our health system — and track the long-term effects on outcomes that matter to patients, clinicians, and policymakers,” said David Arterburn, MD, MPH, a senior investigator. Here are just a few examples:

The impact of our health services research is extensive. Being part of the Kaiser Permanente system, along with our membership in the Health Care Systems Research Network, the Breast Cancer Surveillance Consortium, and other national and international collaborations increases the size and diversity of our study populations. These connections also help KPWHRI shape care and policy beyond the Kaiser Permanente Washington system.

Recent publications on Health Services & Economics

Shay LA, Kimbel KJ, Dorsey CN, Jauregui LC, Vernon SW, Kullgren JT, Green BB. Patients' reactions to being offered financial incentives to increase colorectal screening: a qualitative analysis. Am J Health Promot. 2021 Mar;35(3):421-429. doi: 10.1177/0890117120987836. Epub 2021 Jan 28. PubMed

Malone C, Buist DSM, Tiro J, Barlow W, Gao H, Lin J, Winer RL. Out of reach? correlates of cervical cancer underscreening in women with varying levels of healthcare interactions in a United States integrated delivery system. Prev Med. 2021 Apr;145:106410. doi: 10.1016/j.ypmed.2020.106410. Epub 2020 Dec 31. PubMed

Fuller CC, Hua W, Leonard CE, Mosholder A, Carnahan R, Dutcher S, King K, Petrone AB, Rosofsky R, Shockro LA, Young J, Min JY, Binswanger I, Boudreau D, Griffin MR, Adgent MA, Kuntz J, McMahill-Walraven C, Pawloski PA, Ball R, Toh S. Developing a standardized and reusable method to link distributed health plan databases to the national death index: methods development study protocol. JMIR Res Protoc. 2020 Nov 2;9(11):e21811. doi: 10.2196/21811. PubMed

Henrikson NB. Experiences of social scientists in health research settings: SBM Leadership Institute.  Transl Behav Med. 2020;10(4):902-904. doi: 10.1093/tbm/ibaa065.  PubMed

Jones SM, Henrikson NB, Panattoni L, Syrjala KL, Shankaran V. A theoretical model of financial burden after cancer diagnosis. Future Oncol. 2020 Sep 25. doi: 10.2217/fon-2020-0547. Online ahead of print. PubMed

Researchers in Health Services & Economics

David E. Arterburn, MD, MPH

Senior Investigator
206-287-4610
David.E.Arterburn@kp.org

Curriculum vitae (CV)

Rita Mangione-Smith, MD, MPH

Executive Director and Senior Investigator, KPWHRI; Vice President for Research and Health Care Innovation, Kaiser Permanente Washington
206-287-2988
Rita.M.Mangione-Smith@kp.org

Curriculum vitae (CV)

Robert Penfold, PhD

Senior Investigator
206-287-2232
Robert.B.Penfold@kp.org

Curriculum vitae (CV)

James D. Ralston, MD, MPH

Senior Investigator
206-287-2076
James.D.Ralston@kp.org

Curriculum vitae (CV)

Katie Coleman, MSPH

Director, ACT Center
206-287-2872
Katie.F.Coleman@kp.org

Curriculum vitae (CV)

Katharine A. Bradley, MD, MPH

Senior Investigator
206-287-2151
Katharine.A.Bradley@kp.org

Curriculum vitae (CV)

Paula Lozano, MD, MPH

Senior Investigator; Director, ACT Center
206-287-2113
Paula.Lozano@kp.org

Curriculum vitae (CV)

Jessica Chubak, PhD

Senior Investigator
206-287-2556
Jessica.Chubak@kp.org

Curriculum vitae (CV)

Karen Wernli, PhD

Senior Investigator
206-287-2934
Karen.J.Wernli@kp.org

Curriculum vitae (CV)

Erin J. Bowles, MPH

Director, Collaborative Science
206-287-2708
Erin.A.Bowles@kp.org

Curriculum vitae (CV)

Gwen Lapham, PhD, MPH, MSW

Assistant Investigator
206-287-2021
Gwen.T.Lapham@kp.org

Curriculum vitae (CV)

Melissa L. Anderson, MS

Principal Collaborative Biostatistician
206-287-2647
Melissa.L.Anderson@kp.org

Curriculum vitae (CV)

Eric Johnson, MS

Senior Collaborative Biostatistician
206-287-2105
Eric.Johnson@kp.org

Curriculum vitae (CV)

Lorella Palazzo, PhD

Senior Collaborative Scientist
206-287-2173
Lorella.G.Palazzo@kp.org

Curriculum vitae (CV)

Paula R. Blasi, MPH

Collaborative Scientist
206-287-2094
Paula.R.Blasi@kp.org

Curriculum vitae (CV)

Yates Coley, PhD

Associate Biostatistics Investigator
206-287-2071
Rebecca.Y.Coley@kp.org

Curriculum vitae (CV)

Joseph E. Glass, PhD, MSW

Associate Investigator
206-287-4266
Joseph.E.Glass@kp.org

Curriculum vitae (CV)

Paige D. Wartko, PhD, MPH

Senior Collaborative Scientist
206-442-5230
Paige.D.Wartko@kp.org

Curriculum vitae (CV)

Leah K. Hamilton, PhD

Senior Collaborative Scientist
206-287-2515
Leah.K.Hamilton@kp.org

Curriculum vitae (CV)

Chloe Krakauer, PhD

Collaborative Biostatistician
chloe.a.krakauer@kp.org

Curriculum vitae (CV)

Claire Allen, MPH

Manager, Collaborative Science
Claire.L.Allen@kp.org

Curriculum vitae (CV)

Theresa E. Matson, PhD, MPH

Collaborative Scientist
Tessa.E.Matson@kp.org

Curriculum vitae (CV)

Nora Henrikson, PhD, MPH

Associate Investigator
Nora.B.Henrikson@kp.org

Curriculum vitae (CV)

 

Affiliate researchers

Douglas A. Conrad, PhD, MBA, MHA
Health Services and Dental Public Health Sciences
Center for Health Management Research
Finance and Business Economics
University of Washington (UW)

David Grembowski, PhD
Health Services and Dental Public Health Sciences
Adjunct Professor, Sociology, UW

Larry Kessler, ScD
UW Department of Health Services

Emily Williams, PhD, MPH
UW Department of Health Services; VA Health Services Research & Development Center of Excellence